As you know, dental implantation is the process of restoring teeth lost for any reason by introducing an artificial root into the jawbone, on which a crown or prosthesis will later be installed. These artificial roots are called implants and are a screw-shaped structure. Implants can be made of either titanium or zirconium. Currently, there are a number of different different signs implants.
Thus, implantation is the optimal way to restore a tooth for every person. But here many people have a question: what are the indications and contraindications for installing dental implants? Now we will try to answer this question.
And so, first of all, I would like to acquaint you with the actions and activities that are carried out before the operation to restore teeth through implantation.
Surely many of you know that one of the most important stages of implantation is the planning and preparation stage, since it is at this stage that the patient’s contraindications to dental implants are determined.
The doctor who will carry out implantation must study the patient’s medical history in detail, as well as carry out everything in a timely and high-quality manner. necessary examinations and inspections. In addition to analyzing the blood taken from the patient, it is also necessary to take panoramic photographs of the upper and lower jaw using special templates with regular-sized radiopaque pins fixed in them. This is necessary to determine the characteristics of anatomical formations.
In some cases, your doctor may also need to:
And so at the moment, the main indications for the installation of dental implants include:
Contraindications to dental implants are usually determined based on information about what disease the patient was previously exposed to, the results general examination patient, information regarding psychological and emotional state patient. Contraindications to the use of dental implants can be absolute or relative.
TO relative contraindications Dental implants include:
Implantation is an excellent solution to the problem of missing teeth. It can solve almost any problem that arises, unlike removable and non-removable type prosthetics. But it also has a number of disadvantages, one of which is that it is not possible for all patients. Like any medical operation, there are indications and contraindications for dental implantation. Depending on the combination of both, the doctor chooses whether to perform the procedure on you or not.
Important: Therefore, before starting the procedure, it is necessary to study all the pros and cons.
In order to find out about the restrictions, the doctor needs to talk with the patient. Inspect the cavity and assess its condition. An x-ray would be helpful. A more accurate picture is provided by blood tests - general and biochemical. If necessary, consultation with other specialists and an ECG is carried out.
Based on the results obtained, the doctor concludes that surgery is prohibited and may advise stopping at traditional method prosthetics.
They can be divided into: absolute (in which the procedure is not even considered) and relative (can be performed after treatment).
Absolute ones, which are advisable to replace with removable or permanent dentures:
Note: Despite such an impressive list of prohibitions, it should be noted that only a small part of them is an indicator of the impossibility of carrying out the procedure.
For example, such an indicator as age is only a limitation on the use of certain types, but not a final ban.
Among the indications for their use are:
Before starting the procedure, the doctor should conduct a diagnosis. And if restrictions are found, then preliminary treatment is necessary.
The procedure itself will cost around 25,000 rubles, and if treatment is necessary, the cost will consist of the sum of the price of the implant and preliminary treatment.
Previously, adults who had lost teeth had no alternative - they had to do without them or use dentures or pins. The procedure for preparing to wear removable dentures was extremely painful, and the dental equipment inspired genuine horror. Today, innovative technologies have also affected dentistry; dental implantology is being practiced in full swing around the world. The only obstacle is possible contraindications to dental implantation, which must be strictly observed.
Implants are so optimized for requests and reviews modern man, that almost everyone in need wants to supply them. But this is not as easy to do as we would like. The possible complications are too serious to ignore.
Successful operation and postoperative rehabilitation completely depend on the solution of all contraindications and their number. Some doctors refuse to perform implantation in case of deviations that do not fit into the category of permitted items.
List all possible complications without going into medical terminology, is impossible, but please submit a submission. The first criterion that maxillofacial surgeons consider before implantation is the person’s psycho-emotional mood. If the patient experiences doubts and uncertainty, then better implantation put aside your teeth, all actions will be harmful.
The most common contraindications to implantation are blood and heart diseases.
The dentist determines the course of preoperative measures, the main goal of which is to reduce the significance of contraindications and thereby make dental implantation more promising.
Correction of contraindications is possible if they are relative, that is, they do not pose a big problem and are treatable. However, if the contraindications are absolute, you should more carefully weigh the risks of dental implantation, since they can manifest themselves after the operation in the form of serious complications. More often than not, dentists refuse to operate on a patient with absolute contraindications to dental implantation.
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The most common contraindications are blood and heart diseases. They come first on the list:
When metabolism is disrupted, it occurs hormonal imbalance, which does not allow implants to take root. The processes that take place in connection with bone formation also negatively affect dental implantation.
When the metabolism is disrupted, a hormonal imbalance occurs, which does not allow the implants to take root.
More gentle - relative contraindications:
These obstacles can be eliminated or you can again seek advice for dental implantation after a certain waiting period, as is the case with recently completed chemotherapy, after which surgery cannot be performed immediately.
There are still a lot of rules that must be followed. For example, it is advisable for smokers to quit the bad habit for a couple of weeks before implantation. You should not take blood thinning medications for at least a week before surgery, and you should be more careful about your oral hygiene. And, although pregnancy is not an absolute contraindication, the event should still be postponed until postpartum period- it will be safer for the fetus, there is no need to expose it to anesthesia once again.
General, incompatible contraindications to implants include the following factors:
Physical parameters are assessed individually - the doctor decides whether there is enough bone tissue in the place where the implant needs to be placed, and whether the distance from the nasal to the maxillary sinus is sufficient, what are the general contraindications for dental implantation. The specialist uses tests to check whether acute chronic diseases whether the patient is suffering from drug addiction or alcoholism.
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Dental implantation is actually a complex operation, but when successful completion the result exceeds all expectations. Implants are practically no different from healthy teeth. And, although there are a great many contraindications, most of them can be overcome subject to prior medical examination and treatment.
When should implants be placed? If an entire row or one tooth is missing, there are some defects, it is impossible to use removable dentures and interferes with life increased abrasion enamels. Implantation is also indicated for poor jaw closure and uneven bite.
In any case, after deciding to get dental implants, the most important step is to choose a professional qualified specialist, about whom they talk positive reviews. Dental implantation is not a matter of one day; a specialist must examine the oral cavity and the more thoroughly he does this, the greater the likelihood of a successful operation.
Often, after dental implantation, a lot of health is taken away by the rehabilitation period. The temperature rises and the seam appears white coating, the cheeks swell, the face acquires some asymmetry. Present nagging pain. These signs are among the most expected consequences of the operation; complications are eliminated through a course of antibiotics prescribed by the dentist.
If the patient experiences doubts and uncertainty, then it is better to postpone dental implantation, all actions will be harmful.
The mobility of the implant is also likely - here, perhaps, there was a mistake by the doctor who underestimated the characteristics of the connective tissue. That is, dental implantation always takes place individually, for some it is painless and successful, for others the implant does not take a long time to take root, the teeth hurt, the body temperature rises, and inflammatory processes begin. If the situation develops in this way, then you need to either complain about the dentist or about your own characteristics of the body.
Complications are also possible during the operation. This is still a surgical intervention and there is a risk. Although rare, they still happen:
Dental implantation is already practiced for a long time, during which its high-tech capabilities tripled. Today they do not use scary equipment that can terrify just by its appearance.
You should choose a dentist more carefully and not look at the price list, relying on positive customer feedback.
Now before the operation they carefully prepare, preparing the patient’s jaw for careful intervention and the experienced hands of the dentist. Pain has become practically prohibited - every clinic uses strong painkillers, calling them local anesthesia.
How is dental implantation done? An incision is made in the gum, and a rod is inserted into this socket, which will subsequently imitate the root. After the implant has taken root, a ceramic crown is placed on the titanium rod. The entire process takes place under the close supervision of a dentist.
It is important that the specialist pays a lot of attention to each case, then negative reviews and unnecessary complications will bypass him. The work must be done with high quality, according to European standards, so that colleagues do not have to redo it.
In modern dental therapy, dental implantation is classified as an expensive service. Budget options Not yet. Since implants are durable, their price greatly exceeds the cost of removable dentures. An expensive pleasure, but justified. In the price list, prices range from 20 thousand rubles to 50 thousand rubles, depending on the complexity of the case and the patient’s personal record.
There are numerous contraindications for dental implantation, but most of them are correctable. The success of the operation largely depends on the surgeon, his assessment of the patient’s health and qualifications. The patient himself must also strictly follow the dentist’s recommendations, otherwise some complications are likely.
During the year after surgery and a few weeks before, a person getting implants must take doubly care of oral hygiene, restore dental health and eat heavily, not forgetting about vitamins.
Currently, there are over 2000 systems in the world for dental implantation. All systems can be divided into 3 price categories: economy, business and luxury.
TO implants Economy class includes most Russian-made implantation systems. However, their rather low price does not at all justify their quality. The percentage of failure of these implants is higher than the same percentage for implants of other categories.
A well-known manufacturer of luxury implantation systems is the company Astra-Tech. However, the cost of this type of implants is very high, and not everyone can afford to install such implants. However, you can always find an alternative to them. Thus, business-class implantation systems are practically not inferior to them in quality, and their price is several times lower.
Luxury implants include the brand Astra Tech (Sweden). The company is the leader in the Scandinavian market for the production of implants, with branches of the company operating throughout the world. Astra Tech has been producing medical equipment since the 1940s. The latest developments in the field of healthcare are combined with accumulated experience in clinical research.
The Astra Tech implant system has several differences from systems from other manufacturers. These differences allow you to provide your artificial teeth with an additional “margin of safety”, as well as an impeccable appearance.
Titanium rods have special surface OsseoSpeed™ with micro-roughness. It stimulates bone growth and accelerates healing, thanks to which Astra Tech is fixed in the jaw earlier and more firmly than implants from other manufacturers. Numerous clinical observations show that OsseoSpeed in most cases, it allows for simultaneous implantation with tooth extraction and immediate loading on the implant. This means that the time it takes you to get a full-fledged tooth is significantly reduced.
Attaching the implant and abutment Conical Seal Design™ provides a stronger connection of these elements. Micro-leakage and micro-displacement between the implant, abutment and prosthesis are virtually eliminated. Conical Seal Design also makes abutment placement easier and faster. The elements are self-directing, so there is no need to take additional x-rays to control the position of the abutment.
Implants have different threads at the bottom and top. Upper part The rod is coated with finer MicroThread™ threads. It reduces the risk of damage to the edges of the bone and soft tissue - accordingly, your gums will look like the gums of a healthy tooth.
MicroThread And Conical Seal Design distribute the load on the implant in a special way. Due to these elements permissible load increases up to 3 times!
A wide range of compatible rods and abutments allows you to solve almost any clinical problem.
Recent scientific advances have allowed dentistry as a separate scientific practice to perform previously unimaginable operations. One of these operations was dental implantation, which no one even knew about just 15 years ago. IN modern dentistry Dental implantation is far from the last place, since thanks to it it has become possible to restore a tooth individually, as well as several teeth in a row or even the entire jaw using implants.
What are implants and what are they made from?
Implants are the most effective substitute a lost tooth that is implanted into the gum bone. There are several advantages of an implant: firstly, during implantation, replanning in the development of neighboring teeth can be avoided, while maintaining the functionality of the entire dentition. Secondly, implantation is used in case of need to install a fixed prosthesis. Naturally, a fixed prosthesis is much better in functional and aesthetic aspects than a conventional removable prosthesis design. Thirdly, the creation of additional support for prosthetics.
Implants are made from especially durable materials approved for medical use. The design of the implant consists of two parts: a support in the form of a steel rod, on top of which an abutment is attached. An abutment is a special link between the rod and the denture.
How is the dental implant procedure performed?
Before describing the dental implantation procedure step by step, it is worth understanding one important thing - the entire operation of implanting an artificial tooth is quite lengthy and painful, but after all this you will be able to admire your new snow-white smile with all 32 teeth. Main stages of implantation:
What are the contraindications to implantation?
There is a list of contraindications applicable to implants:
Implants are about caring for the health of patients, while providing highly qualified assistance in the treatment, prevention and restoration of dentition.
The method of prosthetics supported by implants is popular at the Stomatolog11 clinic in the Northern Administrative District. Experienced dentists, an individual approach to each patient, as well as affordable prices for services and operations await you.
An advanced method of installing denture structures on implants allows the patient to return a healthy smile in short terms, painlessly, using advanced equipment. We are talking about an innovative prosthetic technique, without relying on healthy teeth. This type of prosthetics will restore the dentition completely, even for patients with a small amount of teeth. own teeth, the procedure is also suitable for those people whose dental condition does not allow it to be attached to removable structures.
Implant-supported prosthetics, justified by a radiant smile and patient comfort, are recommended in the following cases:
In our clinic in Moscow, implant-supported prosthetics are performed using modern equipment, using innovative techniques.
Our clinic staff will provide qualified assistance in areas of interest. Dental prosthetics specialists have extensive experience and high qualifications.
If you have previously contacted another clinic and have not resolved your dental issue, call right now. The doctor on duty will coordinate the time of the first visit; at the consultation after the preliminary examination, the dentist will talk in detail about possible options prosthetics.
If you successfully agree on and choose a course of treatment, you will not have to wait long in line - you will be able to start prosthetics in the near future.
The generally available cost of dental prosthetics supported by implants will allow you to choose the optimal design option. At the appointment, the dentist will diagnose the condition of the dentition, propose a prosthetic algorithm and calculate the preliminary cost of treatment.
Read more: Dental implantation - cost and description, contraindications and pregnancy, reviews and prices.
1.
Installation of a dental implant
(including X-ray diagnostics, sutures, anesthesia, follow-up examinations)
2. After 1.5-2 months, installation of a gum former
3. After 2 weeks, installation of metal-ceramic crowns
ADVANTAGES OF METAL-FREE CERAMICS MADE OF ZIRCONIUM DIOXIDE:
1. High aesthetics, color and shine of healthy teeth
2. Durability and lightness of construction
3. Biocompatibility, hypoallergenic (does not cause allergies)
1. Installation is possible with some contraindications for which conventional implants cannot be installed
(for example, diabetes)
2. Less time implant survival rate
3. Longer lasting results
Dental implantation - what is it:
Dental implantation is classified:
Dental implant (dental implant) – This is a conical rod about 3-5 mm in diameter, which is implanted into the bone of the upper or lower jaw. Subsequently, it serves as a support for an artificial tooth (denture).
What types of dental implants are there?
We are pleased to offer you a large selection of implants that differ in shape and design:
Plastic dental implants. Allows you to restore several teeth at the same time. Typically used to replace chewing teeth,
ANDroot-shaped implants. The shape resembles a stepped cylinder with threads. Dentists often use it if the patient has a wide dental bone (sometimes the bone has to be built up first),
TOcombined implants. Consists of a combination of plastic and root-shaped implants. Mainly used to eliminate large dental defects,
Pmonoosseous implant. This is a rather thin structure, which is installed when the bone tissue between the periosteum and the bone thins,
Eendodontically stabilized implants. Typically used to strengthen or lengthen tooth roots,
INnutrimucosal implants. Allows you to do without implanting a prosthesis into bone tissue.
What is a dental implant made of?
Our dentistry uses implants made from modern materials :
1. The supporting part of the tooth is an artificial root, which is a rod that is surgically implanted into the bone.
2. The upper part (abatament) is attached to the supporting part and serves as a support for installing a prosthesis or artificial tooth.
How is dental implantation performed in our dentistry?
The dental implant procedure consists of several stages:
- Diagnostic examination. This procedure allows you to determine the condition of your oral cavity. Dental photographs or tamography are also necessary so that the dentist can assess the condition of the bone tissue,
- ABOUToperation. If during diagnostic examination If no contraindications are identified, the dentist proceeds with the operation. The procedure itself will not give you discomfort, since local anesthesia is used in the process. During the operation, the dentist implants an artificial tooth root (installs the root part of the dental implant into the bone bed),
- Uimplant fastening. This process can last from several weeks to six months,
- Protesis is carried out only after the dental implant has firmly fused with the bone. To ensure that the crown does not stand out from the general row of teeth, the dentist carefully selects the color of the crown to match the natural color of the patient’s teeth.
Indications for implantation are:
The absence of one or more adjacent teeth,
The ability to correct various defects in the dentition, without grinding and other adverse effects on neighboring teeth,
The use of safe materials in the manufacture of the implant, which eliminates the reaction of rejection and the development of allergies,
Allows you to make fixed dentures in the absence of teeth over a large area of the jaw, as well as in the complete absence of natural teeth.
In order for the implant to serve you as long as possible, it is necessary to monitor oral hygiene,
Dental implantation is currently becoming an increasingly popular procedure that allows one to completely restore the functionality of the dentition. With the help of implantation of an artificial root, it is possible to fill both single defects and complete absence of teeth.
Some people are frightened by the presence of a foreign body in the jaw bone tissue and the duration of the procedure. One of the common reasons for refusing implantation is mistrust to the professionalism of the doctor.
Despite numerous frightening rumors about implantation, this method is considered no more traumatic than the complex removal of multi-rooted teeth and allows you to forget about the absence of crowns for many decades to come.
There is an opinion among some people that implantation is associated with negative consequences. In some situations this statement is quite legitimate. The procedure is surgery By foreign body invasion.
Therefore, any change in the general condition of the body, unqualified dentist and other factors can affect the result. provoke inflammation and osseointegration disorder, normal smoking or poor hygienic care can cause rejection of the established root.
The main danger from implants is wrong choice of technique implantation and bone tissue preparation, medications, shape and size of artificial root. An implant placed in a bone of inappropriate width will cause it to fracture.
During surgery, it may be hurt facial nerve . Incorrect implantation angle will result in misaligned crowns. At the moment, the listed consequences are observed only in isolated cases and with a highly qualified dentist they can be excluded.
Most often, future patients are concerned about issues related to the pain of the procedure, healing of the wound surface and possible damage jaws:
Modern methods of pain relief allow implantation to be performed completely painless. To block pain, conduction anesthesia is performed by injecting the drug along the location of the nerve canals.
In fact, the procedure is not much different from complex removal tooth Painful sensations accompany a person only after traumatic implantation. As a rule, the pain decreases in intensity within 3 days.
Modern methods of pain relief involve the use of drugs with minimal impact on the body, not harming him. Local anesthesia is considered the best option.
Most often used for this Ultracaine. It is perfect for people with heart and vascular diseases and can be used even during pregnancy.
If there is a contraindication for local anesthesia or at the request of the patient, can be done general anesthesia . The drug for this is selected depending on the implantation method and the general condition of the body.
Despite the fact that the metal rod has a limited length and width, damage to the jaw during implantation is still possible Maybe. Such situations were observed due to the doctor’s unprofessionalism and negligent attitude towards the operation.
Basically, these are the following damages:
Of all the listed injuries, the first option was most often observed. But the possibility of such errors is currently minimized, since digital data obtained during the survey is increasingly used for installation.
The divergence of the applied sutures is very common occurrence, which could be the result like medical error, and non-compliance with recommendations by the patient. The main reasons for the discrepancy are smoking and careless mechanical impact to the operated area.
If the seams have come apart in a place that is invisible during conversation, then dentists recommend don't disturb stitched surface. Most often, the wound heals on its own.
If the stitches come apart in the smile area, they need to be reapplied. In isolated cases, when the neck of the implant is exposed, it is removed.
A long wound healing process is quite rare. As a rule, a preliminary detailed examination eliminates all risks for such a manifestation.
With a changed general condition, decreased immunity and accession infectious diseases, Poor healing is still possible.
In the first days after surgery, slight swelling of the operated tissues may appear. As a rule, with a positive course of the process, swelling subsides within 2–4 days. If swelling lasts longer and is accompanied by pain, then the onset of inflammation can be assumed.
The postoperative period involves the presence of large quantity bloody discharge. Prolonged bleeding is usually provoked by the patient. Most often, the cause is the use of certain medications, high blood pressure and injuries.
If medical errors are excluded, installation technology and dentist’s recommendations are strictly followed, the survival rate of the latest generation of implants approaches 100%. Currently, statistics show that this figure is 97% .
Peri-implantitis
Numerous studies have proven that titanium is a material that fuses with bone tissue as quickly as possible and practically does not cause allergies.
Of 100% of patients, only 3% experienced allergic reaction on titanium.
Implantation is a procedure that requires surgery, which can affect the body, and therefore it has certain contraindications.
Absolute contraindications include pathologies in which implantation may cause irreversible negative consequences for the body. Such diseases include:
In the Live Healthy program, experts spoke in detail and in a fascinating way about some contraindications to implantation:
In addition to absolute contraindications, there are also relative ones, if eliminated, implantation can be performed. These include:
Dental restoration with implants is shrouded in a large number of myths that scare people away and make them better refuse to use this method.
The procedure for installing a metal root, in terms of time frame, is not much different from tooth extraction and takes from 15 to 40 minutes.
As for the period required to fully complete all turnkey procedures, it is indeed long. From the moment of implantation to the installation of permanent crowns, it must take from 3 to 6 months.
There is a myth that all this time the patient is without a tooth. In fact, after the wound has healed, a temporary orthopedic structure can be installed; it will not be functional, but will create the necessary aesthetic effect.
The osseointegration process is completely completed in one and a half to two years, until this time, it is advisable not to put a strong load on the tooth and be especially careful about the hygiene of the operated area.
But all this is ultimately compensated by a full-fledged tooth, which is no different from the real one, which allows forget for life about the presence of a prosthesis in the mouth.
This technique for restoring teeth is indeed considered one of the most expensive. But she has huge advantage before others: adjacent teeth remain intact, and the functionality of the dentition is completely restored.
The minimum cost in Moscow when installing Mirell implants, made in Israel, is 21,000 rubles. The price includes: titanium root, gum former, abutment and metal-ceramic crown.
The Swedish Nobel implant systems are considered the most expensive. An implant, gum former and crown made of zirconium dioxide cost on average from 53 to 60,000 rubles.
This statement is completely false. Crowns on dentures are often stand out from the general series, due to the unnaturalness along the gum line. Implantation avoids this problem.
In long preparation before similar procedure, no need. As a rule, this period includes the collection of tests, examinations and preparation of the oral cavity.
Currently, this statement is a myth, since highly qualified dentists and modern equipment allow implantation to be carried out with the same positive result, as well as abroad. In addition, the cost of the procedure with us is often lower than in foreign clinics.
Accustoming to implants passes in 95% of cases in 1–2 days, as it does not cause any discomfort.
In most cases this procedure celebrated from positive side. You can also leave your feedback about implantation in the comments to this article.
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When you lose a tooth, you don’t have much time to think. And if it’s also in a prominent place... I came across this unpleasant problem. I became interested in the topic on the Internet before I went to the dentist. I was very worried, plus I’m afraid of dentists. Implantation in my case turned out to be a life-saving procedure. The healing period passed very quickly.
Dear Marina! I envy you as a woman striving for beauty and ideal. But after reading all the information I could find about implants, I couldn’t overcome my fear! There are too many contraindications in my opinion... You can say about me that I am a coward))) Therefore, for myself, I found a way out - I set artistic restoration for the missing tooth in my smile)
Everything is somehow complicated with this implantation. So many complications and nuances for such and such money. And now there are so many rogue dentists who are ready to perform the procedure despite the presence of contraindications, just to make money at any cost. However, there are no less patients who are ready to take pointless risks. That's why they go everywhere scary stories about these terrible implantations.
Got dental implants. When I made this decision, I no longer had any options for treating my teeth. The operation was painless. Since I am afraid of dentists, I expected everything to be much worse. American implants were inserted. They were a little more expensive, but due to the purity of the metal in their composition, they take root better. The operation lasted no more than 30 minutes. Painful sensations I didn't feel any pain after anesthesia. Well, the implants are screwed directly into the bone. I visited the doctor once a week. Everything is fine. I'm glad that now all my teeth are in place.
Is it true that after a sinus lift there may be complications after 3-5 years, such as, for example, sinusitis? I would like to hear the opinion of a specialist.
Dental implantation is torture that I would not wish on anyone. Each visit for the procedure lasted 1.5-2 hours. After taking painkillers, my entire jaw hurts. Difficulty eating. As soon as the wounds heal after 3-4 months, they make incisions again and wedge in some glands with all their might. stitched up again. again the wound and soreness and discomfort for several days. The next visit is for teeth shaping. They spend hours drilling, wedging, hammering into these pieces of iron that were driven in there. again pain, inflammation in a fresh wound, discomfort in the mouth for some time. then there will be a fitting!!! It is unknown what kind of torture she will give. I regretted a thousand times that I got involved with this procedure and all this torture for quite a lot of money. ..and you don’t need a coat and you don’t need money.
Diseases or injuries sometimes lead to tooth loss. This affects not only a decrease in the functionality of the oral cavity, but also affects aesthetic perception and self-esteem. The quality of life itself can be determined by the quality of teeth. And the gap can be filled with bridges, crowns and pins, as well as implants. At the same time, the latter is visually indistinguishable from a real tooth, does not require grinding of neighboring teeth, and does not force the attachment of special structures, for which it is valued. However, no matter how wonderful dental implantation is, contraindications and possible complications are still present.
People tried to make the first dental implants back in ancient times. Archaeological finds indicate that gold ones were in Ancient Egypt, Indian ones were made from semi-precious stones, ancient Chinese ones were made from ivory, and ancient Roman ones were made from metal. But then it was extremely difficult to do this, accompanied by high risks. The complications after implantation were even more dangerous.
The main problem was that the materials used were human jaw They simply couldn’t get along, so sooner or later problems arose. But in the 60s of the 20th century, scientists discovered amazing properties titanium, which turned out to be biologically inert, and since the 80s they have already learned to integrate into human bone this material, beginning the era of implantation. It is titanium that can grow into bone, so screw cylindrical implants were created based on it.
On the one hand, an implant can be placed at any age in any vacant space in the jaw. Even if it was damaged, its integrity modern medicine is restored by augmenting bone tissue, into which it is then placed new tooth. But on the other hand, this procedure is not available to everyone. There are a number of contraindications that will not allow you to restore beautiful smile this method.
The level of medicine is now high, the technology is proven, and the materials are reliable. It would seem that dentistry is not dangerous, even if it is dental implantation. Are there any complications? Some people don't even think about it. Actually it's all the same surgery, which has a number of risks, so the issue must be taken seriously. It is not always possible to foresee absolutely everything, but doctors do everything possible to ensure that complications do not arise.
This service is not provided to people who have blood diseases or cancer. bone marrow, tuberculosis, immune disorders and autoimmune diseases, as well as type I diabetics. The operation is not performed on clients with certain congenital or acquired diseases of the central nervous system, including mental ones. These diseases are among the absolute contraindications. Even bruxism can become an obstacle, i.e. grinding of teeth, and hypertonicity of the masticatory muscles, which will not allow the implant to fix normally and the wounds to heal. Intolerance to anesthesia also becomes an obstacle to surgery.
Among medical contraindications There are also relative ones, which are temporary. Thus, if a person is in distress or is taking medications that would negatively affect healing, then intervention may be denied. The operation is not performed on patients who have recently undergone radiotherapy or chemotherapy, but over time this procedure may become available to them.
For the above indications, from a medical point of view, dental implantation is not performed. Contraindications and possible complications may also be associated not with diseases, but with physical condition. The specialist may not allow persons to participate in the procedure if they have poor condition are nerve endings jaws or the bone tissue itself. This issue is individual and is revealed during a personal examination. Misdiagnosis can cause complications. So, if a patient has osteoporosis, i.e. the bone tissue is sparse, then implantation is difficult.
A relative contraindication is the presence of problems with other teeth. But it is enough to do so that there is no carious teeth and other diseases, so that the issue is reconsidered. It is also necessary to first cure periodontitis and gingivitis. Arthrosis of the temporomandibular joint can become an obstacle. Implantation is not performed for pregnant women. Also on the list of undesirable phenomena are alcoholism, smoking and drug addiction.
But under certain conditions, dental implantation is still possible, for whom contraindications were not initially allowed. Many relative and temporary causes can be eliminated, cured, waited for a certain time, etc. Sometimes it is possible to completely get rid of contraindications, and sometimes it is enough to minimize their possible influence so that successful implantation becomes possible.
In some cases, treatment or special preliminary preparation may be carried out, which evens out the situation. For example, if the problem is that there is insufficient bone tissue in the right place, then a procedure can be carried out that will then allow an implant to be placed. And there are a number of procedures that counteract osteoporosis, stimulate bone growth and help it recover over time.
Dental implantation has contraindications and possible complications. Some of them may occur during the installation of a titanium rod and/or former with a crown, others appear in the postoperative period, and some may occur after a rather long time. The qualifications of a specialist and his experience are very important in order to competently assess the condition of the client’s tissues before surgery, as well as professionally perform the procedure itself. According to some estimates, complications occur in 5% of operations.
It is worth noting that in some cases complications arise due to the fault of the patients themselves. Medical recommendations must be followed strictly: carefully monitor hygiene, refuse certain bad habits and, importantly, observe the load regime that falls on the implant. You should not skip scheduled periodic examinations in order to keep the process of osseointegration under control, and if complications arise, identify and eliminate them at the initial stage.
During the procedure itself, they may be damaged soft fabrics, alveolar canals or even the facial artery. Sometimes there are reviews that there has been a perforation of the maxillary sinus or nasal cavity. When working with lower jaw sometimes there is damage to the nerves and penetration of bone tissue into the mandibular canal. There are also dangerous bleedings, or the bone tissue overheats during the formation of a bed for the future implant.
Sometimes in such cases the procedure simply has to be interrupted, but there is a risk that this dental implantation will become unavailable altogether. Contraindications and possible complications reviews here are characterized as the most unpleasant. Thus, overheating of the bone tissue will no longer allow the titanium rod to take root in this place. Perforation of bone tissue and penetration into the sinuses are even more dangerous. Fortunately, the risk is minimal and such cases are extremely rare.
Let’s assume that dental implantation has already taken place. What complications can there be after it? Sometimes there is divergence of the seams, pain and inflammation. The titanium rod may simply not take root, not being completely fixed or becoming loose. Sometimes the bone tissue around it can collapse, which is called perimplantitis. Sometimes it’s the other way around - spots appear around the place of fixation. bone spurs. It is also possible for the implant to fail due to an allergy to titanium, osteoporosis or as a result of a bone burn, which does not allow continued implantation.
Haste and economy in this matter are unacceptable. This operation is not cheap, and it is also associated with the most precious thing - health, and therefore requires the most serious approach. To find out for sure whether dental implantation is suitable, to clarify contraindications and possible complications, you should contact at least two specialists good clinics. This advice is given by experienced people regarding all doctors, but here it is also very relevant. This approach will allow you to better understand the issue, listen to the opinions of different doctors, perhaps identify some contradictions and sort them out in a timely manner.
It is also worth finding out more about the clinic and the doctor both from official sources and from real patients who performed implantation here. Ideally, these will be familiar people whose word you can completely trust. But it won’t hurt to study the reviews of others.
Most owners of new implants, which are indistinguishable from real teeth, are very satisfied with their purchase. But there are also those who experience pain or discomfort when biting for a long time, and those who have gone through inflammation. By the way, it’s worth immediately understanding what dental implantation is, what complications there are, and what should be done in these cases.
So, with the same inflammation, “cleaning” is carried out in a clinic, treatment is prescribed, after which the problems can be forgotten forever. Under no circumstances should the process be left to chance. If anti-inflammatory therapy does not produce results, the implant may be removed.
The first time after surgery there is always numbness associated with anesthesia. But if sensitivity has not recovered after 4 or more hours, this may indicate damage mandibular nerve. Also, in the first hours after surgery, bleeding from the wound may occur. If after a week it has not stopped, we can say that a vessel was damaged during the operation. These complications require specialist intervention.
Like any intervention in the body, there are contraindications for installation. In what cases is it better to resort to alternative methods orthodontic treatment and what complications may occur after implantation, read this article.
Currently installed dental implants, is the most modern method restoration of lost teeth and the return of not only an attractive smile, but also a full distribution of the load on the masticatory organs. With the correct distribution of the chewing load, the jaw stops atrophying, and as a result, the oval of the face is restored. This method It is preferable to dentures in that it does not require grinding or removing nerves from healthy teeth in the neighborhood.
When implanted into the gingival bone, it does not cause allergies and takes root in almost one hundred percent of cases. The pin is also called an artificial root. When the “root” has taken root, a crown is installed on it. At the preparatory stage, pathologies that can lead to complications are eliminated and computed tomography And panoramic shot jaws to determine the location of the pin.
Depending on the type of implant, the gums are either cut or pierced. If there has been an incision, then it takes more time for the regeneration of the mucous tissue, and accordingly, the period during which infection can occur increases. When puncturing the gum, there is no need to suture it; it heals on its own. If the patient has contraindications related to the ability of the tissue to regenerate, blood clotting, or insufficient hygiene, then it is recommended to use those types of implants that, when installed, least injure the mucous membrane.
Implantation is used in cases where it is impossible to use other orthodontic methods. They are installed if several teeth in a row are missing (due to the lack of support for the crown), if the patient cannot or does not want to wear removable dentures, and also if the outermost teeth are missing. But the patient’s desire to install an implant is not decisive for surgical intervention. There are factors that are considered for installation artificial teeth contraindications.
Before proceeding with dental implantation, the dentist will check:
When preparing for implantation, the doctor will prescribe laboratory research such as:
There are the following contraindications for implant installation:
Relative contraindications to dental implantation:
Absolute contraindications include:
The following factors are considered general contraindications for dental implantation:
Local contraindications for dental implantation:
According to dentists, there are not many contraindications to the installation of dental implants, which make the implantation of an artificial root dangerous and fraught with serious consequences and rejection. Most general and local diseases can either be cured or pre-corrected.
For example, if it is possible to suspend or reduce the intake of certain groups of medications, cure an infection, perform immunostimulation, quit smoking, sanitize the oral cavity or build up bone tissue.
If a lot of time has passed between a tooth being lost and the patient deciding to restore it, the bone tissue has decreased and become more porous. To restore it, a sinus lift is required. The jaw bone grows in height, length and width. After the procedure, it must settle in, which may delay implantation for more than three months.
Temporary contraindications for dental implantation:
And although the installation of dental implants is not a complex surgical operation, it can still provoke some undesirable consequences, which include:
| Painful syndrome. | This is considered a normal reaction of the body to established foreign object. As a rule, pain occurs after the anesthetic wears off and continues for 3-4 days. |
| Edema. | May last for several days after surgery. Cold compress will help restore blood circulation in tissues. |
| Bleeding. | Doctors allow for the possibility of slight bleeding in the implant area for 2–3 days. If the bleeding does not stop longer than the specified period, then you need to seek advice. |
| Increased body temperature. | Hyperthermia is characteristic of postoperative period after implantation. However, it should not last longer than four days, this indicates implant rejection. |
| Seams coming apart. | This happens extremely rarely because surgeons use very strong threads. This situation indicates the presence inflammatory process or mechanical damage. |
| Peri-implantitis. | The most serious complication, which is characterized by inflammation of the area around the implant. This occurs due to contact with the wound. pathogenic microflora. According to dentists, in the vast majority of cases this happens due to non-compliance with doctor’s instructions and insufficient hygiene. |
Some patients are stopped from implantation not only by the need for preliminary treatment of certain common diseases or fear of complications, but also the rather high cost of such a service and the time spent. A couple from installation titanium pin It can take up to a year to see the result in the form of an artificial tooth.
Implantation is a surgical intervention in the human body, more precisely in the oral cavity, to restore a tooth or a number of teeth that have been lost due to many reasons. This can be caused by hereditary or acquired dental diseases, injuries or improper hygiene. If measures are not taken, then soon due to the additional load there will be serious problems with neighboring teeth.
To avoid disastrous consequences, it is important to consider contraindications and the presence of any diseases before placing dental implants. The artificial tooth is based on a metal screw that is inserted into the bone tissue. Next, a prosthesis, or crown, is attached to it. The metal embedded in the bone is biologically inactive, therefore it does not harm the body and does not cause allergies.
At first, only a few large companies could afford to restore teeth. medical centers. Now this operation is available to everyone.
Depending on where the implants will be installed, they are divided into several types, differing in shape.
Contraindications, if any, do not depend on the type of design chosen. There is also a way to strengthen a loose tooth with endodontic-endosseous implants so as not to lose it completely.
Today, thanks to a large number of manufacturers, it is possible to individually select the type of system that is ideal for anatomical structure patient's jaws.
As a rule, artificial teeth are used for medical reasons, although for aesthetic purposes the procedure to correct defects is carried out quite often. Losing front teeth is serious problem, which entails difficulty chewing food. Therefore, the only way out is dental implants. Contraindications - important point, requiring special attention.
Even in cases where there are gaps in inconspicuous parts of the jaw, it is highly recommended to implant implants in place of missing teeth (to preserve adjacent ones). A similar operation gives:
In addition, now there is no need to grind down and thereby spoil the neighboring ones. Implantation is indicated when one or several teeth in a row are missing, end defects are observed, or all teeth are missing. In the latter case, a complete removable denture can be fixed.
There are two types of contraindications for implantation - absolute and relative. The first include such severe chronic diseases as:
Relative contraindications:
Before placing dental implants, you need to carefully study the contraindications. Pregnancy in itself is not a prohibition, but stress in this situation is very dangerous for the mother and the unborn child, so no doctor will agree to perform an operation. In any case, before the procedure, it is necessary to consult a doctor and undergo an examination to identify or exclude the above facts that prohibit implantation. Next, at an appointment with an orthopedic surgeon, options and methods of implantation, cost, timing and methods of treatment after surgery will be discussed.
Many people are concerned about whether there are any contraindications for older people getting dental implants. Age, as it turns out, doesn't matter. The problem lies in the general state of human health, his attitude towards medical drugs and anesthesia. Elderly people have more diseases that can become an obstacle to the procedure.
Some medical examinations have, if there are large fragments, staples, clamps on blood vessels and dental implants, contraindications. MRI is one of these due to the presence of a metal foreign body in the oral cavity.
The procedure takes 30-50 minutes, the implants will take root no earlier than in two months.
After implantation, you will have to take care of your oral cavity a little differently than the way we are used to doing it since childhood. The dentist will recommend special hygiene products that need to be used. In addition, after the operation, for the time prescribed by the doctor, you should not eat too hot or cold foods, as well as hard foods.
Implants are foreign bodies, which need at least two months to take root. Following the recommendations will allow you to consolidate the results and enjoy your new teeth for many years.
The patient can feel painful sensations after surgery. In this case, the doctor prescribes general and local treatment. Local treatment includes rinsing the mouth and lubricating the inflamed area of the gums. General treatment carried out with antihistamines and painkillers, as well as antibiotics. Dental implants have contraindications (reviews about them fill the Internet). However, they are not always objective, so it is not worth making final conclusions without a doctor.
As a rule, in patients who have undergone similar operation, positive reviews remain. After all, the functionality of the teeth is not impaired, and they feel just like your own. It’s hardly worth talking about aesthetic effects: a perfect smile is the dream of every person who does not have it from birth. And yet, before deciding on harm, contraindications - everything must be taken into account in order to get the desired result.
How much a patient carries is influenced, first of all, by the individual characteristics of the patient. To begin with, this is biological compatibility with the implanted material, the volume of bone tissue and the structure of the gums.
On average, if you properly care for your teeth and follow your doctor’s recommendations, you can wear the system for 20-25 years. However important role plays a role in the skill of the doctor and the quality of work.
A new implantation method is 4D implantation. It is practiced quite successfully in Europe. Its peculiarity is that it is possible to insert a titanium pin even into a small volume of bone tissue. Patients not only can, but should also load such dental implants within two weeks after surgery (if there are no visible complications). No one has canceled the contraindications for this method, and therefore examinations and preliminary consultation with a doctor are mandatory.
This type of implantation is cheaper than conventional implantation because it does not require a large amount of surgical interventions. Due to the fact that the implants are integrated into the bone, there is no specific innervation in this connection. Therefore, pain will not be felt when you press hard on the artificial tooth.
